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2021 Media Credential Request
Please fill out the following form to request Media Credentials for the 2021 Kicker Country Stampede.
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* Indicates required question
Email
*
Your email
ORGANIZATION NAME
*
Your answer
TYPE
*
Radio
TV
Print
Social Media
VLOG/BLOG/PODCAST
Other:
MAIN CONTACT
*
Your answer
MAIN CONTACT ROLE
*
Your answer
REQUESTER PHONE NUMBER
*
Your answer
ADDRESS
*
Your answer
CITY
*
Your answer
STATE
*
Your answer
ZIP
*
Your answer
CREDENTIAL HOLDER INFORMATION
First and Last Name of EACH person you are requesting credentials for
*
Your answer
Email address: please enter a contact email for EACH credential holder
*
Your answer
Phone number; please enter a cell phone number for EACH credential holder
*
Your answer
What days are you requesting credentials for?
*
Entire Weekend
Thursday only
Friday Only
Saturday Only
Required
Photography access?
*
Yes
No
Required
Videographer Access?
*
Yes
No
Required
Have you covered our event previously?
*
Yes
No
If yes, provide links to coverage material below
Your answer
Photographer / Videographer Release
*
By checking this box, you are agreeing to provide all photos/videos captured at Country Stampede to the Country Stampede team. You will receive details on how to provide these upon acceptance of your request.
Required
A copy of your responses will be emailed to the address you provided.
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